how does that help improve healthcare? >> well, i don't think it does, governor.exic the secret of medicare is we are already living on the edge. both doctors and patients on the edge. we know when we see a medicare patient with all due respect to the seniors out there medicare patients tend to have more problems. take longer time for me to take care of. they need more technology. we always lived medicare because it doesn't restrict us. now, the more restricted we get the more medical problems we might have the solution for but we are not allowed to order, the more time it takes and now the less we are being paid that 2% makes a big difference. even 2% because fees are being cut across the board and expenses are going up. >> mike: with obama care one of the factors is there are specific things covered and not covered. in a way is obama care sort of preempting your ability to practice medicine and giving you a list and saying you can do this but you can't do that? >> i think that is right. for the smaller group that doesn't